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    Dengue Fever Y.o/malay/ UL

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    Nurhafizah Ibrahim
    This document contains a list of important drugs and their doses. It includes common medications used for conditions like coagulopathy, pain management, infections, hypertension, diabetes, and gastrointestinal issues. Routes of administration include oral, subcutaneous, intravenous, and intramuscular. Doses are provided for both acute and long-term administration. Standard bowel preparation protocols are also outlined for colonoscopy procedures.

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    Dengue Fever Y.o/malay/ UL

    Uploaded by

    Nurhafizah Ibrahim
    49 views9 pages
    This document contains a list of important drugs and their doses. It includes common medications used for conditions like coagulopathy, pain management, infections, hypertension, diabetes, and gastrointestinal issues. Routes of administration include oral, subcutaneous, intravenous, and intramuscular. Doses are provided for both acute and long-term administration. Standard bowel preparation protocols are also outlined for colonoscopy procedures.

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    This document contains a list of important drugs and their doses. It includes common medications used for conditions like coagulopathy, pain management, infections, hypertension, diabetes, and gastrointestinal issues. Routes of administration include oral, subcutaneous, intravenous, and intramuscular. Doses are provided for both acute and long-term administration. Standard bowel preparation protocols are also outlined for colonoscopy procedures.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    49 views9 pages

    Dengue Fever Y.o/malay/ UL

    Uploaded by

    Nurhafizah Ibrahim
    This document contains a list of important drugs and their doses. It includes common medications used for conditions like coagulopathy, pain management, infections, hypertension, diabetes, and gastrointestinal issues. Routes of administration include oral, subcutaneous, intravenous, and intramuscular. Doses are provided for both acute and long-term administration. Standard bowel preparation protocols are also outlined for colonoscopy procedures.

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    DENGUE FEVER

    y.o/malay/
    UL:

    Fever X /7
    On & off
    + Athralgia & myalgia
    Vomiting X /7
    >3x/day
    Diarrhea X /7
    >3x/day
    abdominal pain
    Reduce oral intake, able to drink cups of water today
    Hx of jungle tracking & swim in pool/river
    Living in degue prone area:
    Cough & runny nose:
    Sore throat:

    o/e alert, conscious, crt < 2 sec, good pulse volume, warm peripheries, hydration

    BP:
    HR:
    RR:
    Temp:
    SpO2:

    Lungs: Clear
    CVS: S1 S2 no murmur
    PA: Soft non tender

    WCC: /PLT: /HCT: /Hb:

    IMP:

    PLAN
    CHEST PAIN

    y.o/MALAY/
    U/L

    Central chest pain started on @ 0000H,


    Burning/priciking in nature,
    Radiating?
    P/S:
    a/w dyspnea/ failure symptoms

    family hx with IHD:

    otherwise :
    no fever,
    UTI or URTI sx
    No abdominal pain
    Tolerating well

    o/e alert, conscious, crt < 2 sec, good pulse volume, warm peripheries, hydration

    BP:
    HR:
    RR:
    Temp:
    SpO2:

    Lungs: Clear
    CVS: S1 S2 no murmur
    PA: Soft non tender

    Plan
    Allow discharge with medications.
    TCA stat if symptoms worsen.
    PEADS FEVER

    Y.O/Malay/
    Born term, vaccination up to age

    Fever x /
    Chills and rigors:
    Documented temp:

    Cough x /7
    Chesty cough with whitish sputum

    Runny nose x /

    Oral intake

    o/e alert, conscious, crt < 2 sec, good pulse volume, warm peripheries, hydration

    BP:
    HR:
    RR:
    Temp:
    SpO2:

    Lungs:
    CVS: S1 S2 no murmur
    PA: Soft non tender

    Plan
    AGE

    Y.O/Malay/
    Born term, vaccination up to age

    c/o: Diarrhoea - frequency/day –


    mucous?blood?
    Vomiting - frequency/day - food particles/blood/bile
    Reduced intake - usual feeding (Oz), current feeding
    Less active?
    Fever?
    Outside food? Fam with similar sx?

    o/e alert, conscious, crt < 2 sec, good pulse volume, warm peripheries, hydration

    BP:
    HR:
    RR:
    Temp:
    SpO2:

    Lungs:
    CVS: S1 S2 no murmur
    PA: Soft non tender

    Plan
    Trauma

    O/E
    *Airway*
    No hoarseness of voice, no stridor, no foreign body, ROM neck full, no cervical tenderness

    *Breathing*
    Trachea central, neck vein not distended, no chest wall bruises, equal chest rise, no open wound

    *Circulation*
    Crt<2 sec in b/l UL and LL, warm peripheries, good pulse volume, distal pulse palpable, pink

    *Disability*
    GCS: 15/15
    Pupil 3/3 reactive

    *Exposure*
    Document all abrasion/ any visible wound or deformity

    Chest spring - negative


    Pelvic spring - negative

    BP:
    HR:
    RR:
    Temp:
    SpO2:

    Lungs: clear
    CVS: S1 S2 no murmur
    PA: Soft non tender

    IMP:

    PLAN
    MEDICATION

    MMLIST OF IMPORTANT DRUGS & DOSES

    S/c Fondaparinox 2.5mg OD/7.5mg OD


    S/c Heparin 5000u BD/7500u BD
    S/c Morphine 5mg/7.5mg TDS
    S/c Clexane 40mg/60mg OD
    T Ranitidine 150mg BD
    IV Ranitidine 50mg TDS
    Mist calminative 15mls TDS
    Mist Na Citrate 15mls/30mls OD
    T EES 400mg BD
    T Zinnat 250mg BD
    T Ponstan 500mg TDS
    T Voltaren 50mg TDS
    T Papase 11/11 TDS
    T Gelusil 11/11 TDS
    IV Maxolon 10mg TDS
    C Celebrex 200mg BD /400mg OD
    C Tramal 50mg/75mg TDS
    T Arcoxia 90mg OD
    Syp MMT 15mls TDS
    Syp Benadryl 15mls TDS
    T Piriton 4mg/8mg TDS
    IV hydrocortisone 200mg stat, 100mg QID
    T Cilostazol (claudication pain) 100mg OD
    T Aspirin 150mg OD/300mg STAT
    IM nubain 20mg stat
    T/IV Bisolvon 8mg TDS
    T Labetolol 100mg TDS
    T Adalat 10mg TDS
    T Methyldopa 250mg TDS
    Ural sachet 1/1 BD/TDS
    IV/T lasix 20/40/80 mg BD
    IM/IV Pethidine 50mg
    T Rocaltriol 0.25 mcg OD
    T calcium lactate 600mg BD
    T levenogestrel 1.5mg stat
    Inj Ertapenem 1gm OD
    Inj Piptaz 3.375g
    T/IV Tranexamic acid 500-1000mg TDS
    IV Tramal 50 mg/75mg TDS
    IV Maxolon 10 mg TDS
    IV Cefuroxime 1.5 stat, 750mg TDS
    IV Unasyn 1.5g STAT and TDS
    IV Cefobid 2g stat, 1g BD
    IV Ceftriaxone 2g stat, 2g/1g OD
    IV Cefepime 2g stat, 1g BD
    IV Meropenem 500mg tds/qid
    IV Imipenem 500mg tds/qid
    IV Ampicillin 2gm Stat 1gm QID
    IV Cloxacillin 1g STAT, 1g/500mg QID
    IV Flagyl 500mg TDS
    IV Augmentin 1.2g STAT, TDS
    T Augmentin 625 mg BD
    T Unasyn 375mg BD
    T Doxycycline 200mg stat, 100mg bd
    T Cloxacillin 500mg QID
    T Azithromycin 500mg OD
    T Flagyl 400mg TDS
    C Tramal 50mg/75mg TDS
    T Maxolon 10mg TDS
    T Doxazosin 4mg OD
    T Finasteride 5 mg OD
    T Cardura 4mg ON
    T Hytrin 4mg ON

    LYTIC COCKTAIL
    IV Actrapid 10u STAT
    IV ca gluconate 10% 10cc in 10 minutes
    IV Dextrose 50% 50cc

    FAST CORRECT
    IV KCL 2g/1g in 200cc/100cc over 1 hour/2 hour
    IV KH2PO4 1 ampoule in 250cc NS/4H
    IV Mgso4 1 ampoule in 100cc NS/4H

    SEDATION
    Midazolam 0.1mg/kg
    Syrup chlorhydrate 50mg/kg

    OAC/PAC REGIME
    C Omeprazole 40mg BD
    T Ampxicillin 1g BD
    T Clarithromycin 500mg BD
    Then C Omeprazole 40mg OD

    HEMATINICS
    T FeSO4 200/400mg OD/BD
    T Vit B Co I/I, II/II OD/BD
    T Folate I/I, II/II OD/BD

    BOWEL PREP
    2 days before - low residual diet
    1 days before:
    RP normal - fleet phosphosoda 45ml BD x 1/7
    RP abnormal - Foltran 2L/3L
    On day of scope:
    Ravin enema II/II stat
    Or fleet enema I/I stat
    Do PR!

    Tab. Daflone ll/ll TDS 4/7


    Tab. Daflone ll/ll BD 3/7
    Tab. Daflone ll/ll OD 1/52

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